Questions 49

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ATI Custom Pediatrics Comprehensive Exam Questions

Extract:

16-year-old with advanced osteosarcoma and metastasis to the lungs


Question 1 of 5

A 16-year-old has been admitted to the hospital for advanced osteosarcoma with metastasis to the lungs. His prognosis is poor. He is continuing to require oxygen and needs to remain in the hospital for monitoring. The adolescent is very frustrated and states that he doesn't want to stay in the hospital and wants to be with his friends. Which of the following is the best option?

Correct Answer: D

Rationale: A multi-disciplinary team meeting respects the teenager's wishes, involves family, and aligns care with his emotional and social needs, crucial for a terminal illness.

Extract:

Young mother with new baby


Question 2 of 5

A young mother confides in the nurse that her husband does not want her to give so much attention to their new baby for fear that the child will become spoiled. The nurse's best response would be

Correct Answer: C

Rationale: Interaction fosters trust, supporting healthy emotional development in infants, contrary to spoiling concerns.

Extract:

Child with nephrotic syndrome


Question 3 of 5

The nurse anticipates that there will be two classic hematologic characteristics in the blood chemistry of a child with nephrotic syndrome which are: (Select all that apply.)

Correct Answer: A,C,D

Rationale: Anemia, hyperlipidemia, and hypoproteinemia are classic findings in nephrotic syndrome due to protein loss, compensatory lipoprotein synthesis, and reduced erythropoiesis.

Extract:

Child postoperative after ventriculoperitoneal (VP) shunt insertion


Question 4 of 5

Which action should the nurse take when providing postoperative nursing care to a child after insertion of ventriculoperitoneal (VP) shunt?

Correct Answer: D

Rationale: Monitoring for increased temperature is critical to detect early signs of infection or shunt complications, a priority in postoperative VP shunt care.

Extract:

10-year-old child hospitalized for an extended period


Question 5 of 5

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

Correct Answer: C

Rationale: Encouraging school work supports Erikson's 'Industry vs. Inferiority' stage, fostering competence and mastery critical for a 10-year-old's psychosocial development.

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